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Year : 2018  |  Volume : 56  |  Issue : 3  |  Page : 158-162

Long-term results of primary intraocular lens implantation in infants: Our experience

Department of Paediatric Ophthalmology and Adult Strabismus, Aravind Eye Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. A Sasikala Elizabeth
Department of Paediatric Ophthalmology and Adult Strabismus, Strabismus Clinic, Aravind Eye Hospital, Avinashi Road, Coimbatore - 641 014, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjosr.tjosr_77_18

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Objective: The main objective of this study is to analyze the long-term outcome in children who underwent cataract surgery for congenital cataract with intraocular lens (IOL) implantation <24 months of age. Materials and Methods: The study involves a retrospective analysis of children, <24 months who had undergone phacoaspiration, primary posterior capsulorhexis, anterior vitrectomy, and primary IOL implantation in our institution, between January 2009 and December 2013 with minimum of 4-year follow up. Results: Thirty-nine eyes of thirty children were analyzed. Mean age at surgery was 13.6 months. 46.1% achieved visual acuity logMAR 0.47 or better. Mean visual acuity in the last visit was logMAR 0.77. Mean visual acuity in unilateral cataracts was logMAR 1.07 when compared to logMAR 0.3 in bilateral cataracts. Mean visual acuity in children operated <12 months and 13–24 months of age are logMAR 1 and 0.6, respectively. The shift in mean spherical equivalence was 4.43D at 2-week postoperative to − 1.02D at the latest visit. Mean myopic shift being 5.91D. Comparison between children operated <12 months and 13–24 months of age for the myopic shift and visual acuity in the last visit had very high statistical significance (P = 0.0003). Conclusion: Refractive results after primary IOL implantation in children <2 years are variable. Limited data exist about their long-term outcome. Our study suggests that it is surgically safe and has a favorable long-term outcome for primary IOL implantation in these children.

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